§457-8.6  Prescriptive authority for
advanced practice registered nurses.  (a)  The board shall grant
prescriptive authority to qualified advanced practice registered nurses and
shall designate the requirements for advanced nursing practice related to prescriptive
authority.  The board shall determine the exclusionary formulary for qualified
advanced practice registered nurses who are granted prescriptive authority.



(b)  The department of commerce and consumer
affairs shall establish a joint formulary advisory committee composed of:



(1)  Two persons licensed as advanced practice
registered nurses and appointed by the board;



(2)  Two persons licensed in medicine by the Hawaii
medical board and appointed by the Hawaii medical board;



(3)  Three persons licensed as pharmacists and
appointed by the board of pharmacy;



(4)  One representative of the University of Hawaii
John A. Burns school of medicine appointed by the dean of the University of
Hawaii John A. Burns school of medicine; and



(5)  One representative from a school of nursing with
an advanced practice registered nurse program.



The joint formulary advisory committee shall
recommend the applicable formulary for persons recognized under this section. 
The board shall consider the recommendations of the joint formulary advisory
committee in adopting the formulary.  The appropriate working relationship with
licensed physicians shall be reflected in rules adopted by the board in
accordance with chapter 91.



(c)  The board shall establish nursing
requirements for education, experience, and national certification pursuant to
rules adopted in accordance with chapter 91.



(d)  Advanced practice registered nurses shall
be considered qualified if they have met the requirements of section
457-8.5(a), and have met the advanced pharmacology requirements for initial
prescriptive authority pursuant to rules adopted by the board.  Only qualified
advanced practice registered nurses authorized to diagnose, prescribe, and
institute therapy or referrals of patients to health care agencies, health care
providers, and community resources and, only as appropriate, to the practice
specialty in which the advanced practice nurse is qualified, may:



(1)  Prescribe, procure, administer, and dispense over
the counter and legend drugs, and controlled substances pursuant to this
chapter and to chapter 329; provided that an advanced practice registered nurse
shall not request, receive, or sign for professional controlled substance
samples;



(2)  Prescribe, order, and dispense medical devices and
equipment; and



(3)  Plan and initiate a therapeutic regimen that
includes nutritional, diagnostic, and supportive services including home health
care, hospice, and physical and occupational therapy. [L 1994, c 278, §1; am L
2002, c 192, §§1, 5; am L 2003, c 3, §27; am L 2004, c 88, §§5, 8 and c 150,
§§1, 2; am L 2005, c 30, §1; am L 2008, c 9, §3; am L 2009, c 169, §10]